Skip to main content
EMERGENCY CLAIMS CALL 866-270-8430
Hit enter to search or ESC to close
Search
Close Search
Menu
Policyholders
Make a Payment
Policyholder Login
File a Claim
Find an Agent
Hurricane Mitigation Discounts
Frequently Asked Questions
Agents
Become an Agent
Agent Portal
Products
Homeowners Insurance
Dwelling Fire Insurance
Condo Insurance
Renters insurance
Manufactured Home Insurance
Optional Coverages
About
Who We Are
Executive Leadership
American Traditions Partnership
Careers
Contact
Become an Agent
"
*
" indicates required fields
Δ
Step
1
of
3
33%
Comments
This field is for validation purposes and should be left unchanged.
Corporate Name
*
DBA/Agency Name
*
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Primary Contact Name
*
First Name
Last Name
Email
*
Phone
*
Fax
*
Website
*
Tax ID Number
*
Date Agency or Location Established
*
Agency Book of Business Percentage(s) – Please indicate the percentage of your book of business in the following lines
Homeowners/Dwelling %
*
Mobile Homes %
*
Auto %
*
Commercial %
*
Life/Health %
*
Other %
*
What is the average number of HO/DP Policies written per month?
*
What is the average number of Mobile Home Policies written per month?
Is there an opportunity for a rollover?
Yes
No
If yes, from which carrier?
Any additional information that you would like to provide
Agency Production - Please list your two largest personal lines carriers in order of volume
Carrier 1
Carrier 1 Name
*
Carrier 1 Premium
*
Carrier 1 Commission %
*
Carrier 1 Date Appointed
*
MM slash DD slash YYYY
Carrier 1 Loss Ratio
*
Carrier 2
Carrier 2 Name
*
Carrier 2 Premium
*
Carrier 2 Commission %
*
Carrier 2 Date Appointed
*
MM slash DD slash YYYY
Carrier 2 Loss Ratio
*
Close Menu
Policyholders
Make a Payment
Policyholder Login
File a Claim
Find an Agent
Hurricane Mitigation Discounts
Frequently Asked Questions
Agents
Become an Agent
Agent Portal
Products
Homeowners Insurance
Dwelling Fire Insurance
Condo Insurance
Renters insurance
Manufactured Home Insurance
Optional Coverages
About
Who We Are
Executive Leadership
American Traditions Partnership
Careers
Contact